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Search › Virginia › 207Q00000X

Fallon Mattis, M.D

NPI 1558686345 · on the registry since 2010

Practice

Address
101 Aubreys Loop
Sentara Halifax Family Medicine
South Boston, VA 24592
Phone
(646) 835-9001
Fax
(646) 835-9001
Organisation at this address
Dominion Health Medical Assoc
Dominion Health Medical Assoc
Halifax Regional Hospital, Inc
Dominion Health Medical Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
Licence states on file
TX, MN, IL, MO, UT, NY, NJ, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia